Pattern of Childhood Fractures in a Developing Country
Journal Title: Malaysian Orthopaedic Journal - Year 2011, Vol 5, Issue 1
Abstract
Introduction: Trauma is a major cause of childhood morbidity, and pattern of fractures in children is related to socioeconomic and environment factors. We conducted this study to look at fracture pattern of children in a developing country. Material and Method: Children aged 12 and below who attended paediatric orthopaedic out-patient clinic between July 2009 and March 2010 were enrolled for the study. Information was collected by interview that was based on a questionnaire. Results: There were 260 children in the study, and 72.3% were boys. The most common bone fractured was the radius and/or ulnar (41.9%), followed by the humerus (27.7%) and tibia/fibula (7.7). Most common place for fracture to happen was at home (35.5%), followed by in the parks (17.3%) and at school (15.7%). Road traffic accident only contributed 9.2% of all the fractures. Of the 25 fractures due to road traffic accidents, 16 involved the use of vehicles. About one third (36.73%) of the injuries were not witnessed. One quarter (24.9%) were witnessed by parents and one fifth (17.1%) witnessed by siblings. Conclusion: Upper limb are more commonly fractures than lower limbs. Measures to reduce the problem should start at home by creating higher awareness on injury prevention among the parents.
Authors and Affiliations
A Saw, N Fadzilah, M Nawar, YP Chua
Keywords
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